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UNIVERSITY OF PENN - MEDICAL GROUP NPI 1477660173


NPI Information

NPI: 1477660173
Provider Name: UNIVERSITY OF PENN - MEDICAL GROUP
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3400 SPRUCE ST
3 DULLES BUILDING
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 349-8222
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UNIVERSITY OF PENN - MEDICAL GROUP is a gastroenterology internal medicine in Philadelphia, PA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. UNIVERSITY OF PENN - MEDICAL GROUP NPI is 1477660173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
3 DULLES BUILDING
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 349-8222

The provider's authorized official is Chante L Jackson .
The authorized official title is Enrollment Lead and has the following contact phone number (215) 662-6187.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 11/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10322705000OTHERPENNSYLVANIAKEYSTONE
25465605OTHERNEW JERSEYNJ-MEDICAID
30006610360MEDICAIDPENNSYLVANIA
4273194OTHERPENNSYLVANIAMAMSI
5063598OTHERPENNSYLVANIABLUE SHIELD
6G0003165OTHERPENNSYLVANIAAMERICHOICE
71010509OTHERPENNSYLVANIAMERCY
80002Y20116OTHERPENNSYLVANIAHEALTHNET
910706OTHERPENNSYLVANIAHEALTHPARTNERS
10CA0235OTHERPENNSYLVANIARR MEDICARE
11496672OTHERPENNSYLVANIAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.